Nicholas Benjamin Clemmons, in Athens, GA - Medicare Nurse Practitioner

Nicholas Benjamin Clemmons, is a medicare enrolled "Nurse Practitioner" in Athens, Georgia. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southland Consolidated Emergency Services Llc, Wills Memorial Emergency Medical Services, Llc and his current practice location is 818 Tabby Ln, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 449-4524.

Nicholas Benjamin Clemmons is licensed to practice in Georgia (license number RN227788) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881357127.

Contact Information

	Nicholas Benjamin Clemmons,
	818 Tabby Ln, Athens, GA 30605-7058
	(229) 449-4524
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Benjamin Clemmons
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	818 Tabby Ln, Athens, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas Benjamin Clemmons graduated from nursing school in 2021

NPI Data:

NPI Number: 1881357127
Provider Enumeration Date: 10/13/2021
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 7810386190
Enrollment ID: I20211108000096

Medical Identifiers

Medical identifiers for Nicholas Benjamin Clemmons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881357127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN227788 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wills Memorial Hospital	Washington, GA	Hospital
Jefferson Hospital	Louisville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southland Consolidated Emergency Services Llc	2860792066	36
Wills Memorial Emergency Medical Services, Llc	9335419563	5

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Benjamin Clemmons allows following entities to bill medicare on his behalf.

Entity Name	Southland Emergency Medical Services Consolidated, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503

Entity Name	Southland Consolidated Emergency Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289

Entity Name	Wills Memorial Emergency Medical Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275066326 PECOS PAC ID: 9335419563 Enrollment ID: O20170720003399

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Benjamin Clemmons is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicholas Benjamin Clemmons, 818 Tabby Ln, Athens, GA 30605-7058 Ph: () -	Nicholas Benjamin Clemmons, 818 Tabby Ln, Athens, GA 30605-7058 Ph: (229) 449-4524

Reviews and Comments

Nurse Practitioner Nurses in Athens, GA

Ms. Susan Gail Adams, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605 Phone: 706-542-7053
Ireta Favors, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Bray St, Athens, GA 30601 Phone: 678-215-4907 Fax: 678-671-8489
Melissa Bienacker Baughcum, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601 Phone: 706-548-0008 Fax: 706-369-9673
Amanda Gunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-534-4637
Lauren Gruendling, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700
Cheryl Y Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821
Melisa Ann Suggs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 North Ave, Athens, GA 30601 Phone: 706-613-6976

Nicholas Benjamin Clemmons, - Medicare Nurse Practitioner in Athens, GA